How much rates vary
Facilitymedian $794 · 10th to 90th $240 to $6,310Professionalmedian $1,318 · 10th to 90th $1,000 to $1,995
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $831.76 Median $4,897.79 Typical High $8,511.38 | Facility | None | $831.76 | $4,897.79 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $1,071.52 Typical High $1,202.26 | Professional | None | $933.25 | $1,071.52 | $1,202.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $467.74 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $467.74 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $186.21 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $812.83 Typical High $812.83 | Professional | 54 · Surgery only | $707.95 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $141.25 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $93.33 | $107.15 | $107.15 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $28,183.83 Typical High $56,234.13 | Facility | None | $3,981.07 | $28,183.83 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $1,445.44 Median $1,513.56 Typical High $2,398.83 | Professional | None | $1,445.44 | $1,513.56 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $645.65 Typical High $2,290.87 | Facility | None | $380.19 | $645.65 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,348.96 Typical High $2,290.87 | Professional | None | $1,174.90 | $1,348.96 | $2,290.87 |
Emblem Health Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
Geisinger Setting Professional Modifier None Typical Low $1,174.90 Median $1,698.24 Typical High $2,290.87 | Professional | None | $1,174.90 | $1,698.24 | $2,290.87 |
Martin's Point Setting Facility Modifier None Typical Low $831.76 Median $3,801.89 Typical High $8,709.64 | Facility | None | $831.76 | $3,801.89 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $933.25 Median $1,071.52 Typical High $1,096.48 | Professional | None | $933.25 | $1,071.52 | $1,096.48 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $467.74 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $467.74 | $537.03 | $537.03 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $186.21 | $213.80 | $213.80 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $812.83 Typical High $812.83 | Professional | 54 · Surgery only | $707.95 | $812.83 | $812.83 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $141.25 | $162.18 | $162.18 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $93.33 | $107.15 | $107.15 |
Oscar Health Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None | $10.96 | $10.96 | $10.96 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,047.13 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,047.13 | $1,174.90 | $1,174.90 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,047.13 Median $1,071.52 Typical High $1,174.90 | Professional | None | $1,047.13 | $1,071.52 | $1,174.90 |
United Setting Facility Modifier None Typical Low $199.53 Median $562.34 Typical High $4,265.80 | Facility | None | $199.53 | $562.34 | $4,265.80 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,412.54 Typical High $2,187.76 | Professional | None | $1,096.48 | $1,412.54 | $2,187.76 |
Where Pennsylvania sits
The same service costs 17.6 times more in Maine than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
ME $31,097MD $1,765
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.